Healthcare Provider Details

I. General information

NPI: 1043133499
Provider Name (Legal Business Name): JOANNASTINE CREAR LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 HIGHLAND DR
FAIRFIELD AL
35064-1617
US

IV. Provider business mailing address

1204 HIGHLAND DR
FAIRFIELD AL
35064-1617
US

V. Phone/Fax

Practice location:
  • Phone: 205-742-9090
  • Fax: 205-961-4980
Mailing address:
  • Phone: 205-742-9090
  • Fax: 205-961-4980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number72
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: